How to take braltus inhaler?

Studies show that a significant portion of inhaler users do not use their devices correctly, leading to reduced medication effectiveness. Mastering how to take braltus inhaler properly is crucial for managing your Chronic Obstructive Pulmonary Disease (COPD) symptoms effectively, ensuring the medication reaches deep into your lungs where it is needed most.

Quick Summary

This guide provides clear, step-by-step instructions for using the Braltus Zonda dry powder inhaler device. Learn how to prepare the inhaler, inhale the capsule correctly, and ensure you receive your full once-daily dose for treating Chronic Obstructive Pulmonary Disease.

Key Points

• Once-Daily Dosage: Inhale one Braltus capsule once per day, preferably at the same time each day, for long-term symptom management.

• Do Not Swallow: The capsules contain powder for inhalation only and should never be swallowed whole. The medication is only effective when inhaled.

• Proper Inhalation Technique: Inhale quickly and deeply enough to hear or feel the capsule rattling inside the chamber. A tight seal around the mouthpiece is essential.

• Double Inhalation Required: Always repeat the inhalation process a second time with the same capsule to ensure you have received the full dose of powder.

• Device and Capsule Handling: Place the capsule in the center chamber of the Zonda device, not the mouthpiece. Store capsules in their original container away from moisture.

• Regular Maintenance: Wipe the mouthpiece of your inhaler regularly with a dry cloth or tissue to prevent powder buildup and maintain hygiene.

Braltus is a long-acting bronchodilator containing the active ingredient tiotropium, prescribed for the long-term, once-daily maintenance treatment of airflow obstruction in patients with Chronic Obstructive Pulmonary Disease (COPD). It is a dry powder inhaler (DPI) that uses single-dose capsules, which must be inserted into a special Zonda device for inhalation. The capsules are for inhalation only and must not be swallowed. Following the correct technique is essential for the medication to be effective. This guide will walk you through the proper steps for using your Braltus inhaler.

How to Use the Braltus Zonda Inhaler: A Step-by-Step Guide

Step 1: Prepare the Inhaler and Capsule

1. Wash and dry your hands before handling the device and capsules. This is a hygienic practice that prevents contamination.
2. Press the green piercing button on the side of the Zonda device to open the dust cap and the white mouthpiece.
3. Remove a capsule from the bottle and immediately close the bottle tightly to protect the remaining capsules from moisture. Do not store the capsules in the device.
4. Place the single capsule in the center chamber of the device, not directly in the mouthpiece.
5. Close the white mouthpiece firmly until you hear a clear click.

Step 2: Pierce the Capsule

1. Hold the inhaler with the mouthpiece facing upward.
2. Firmly press the green piercing button on the side of the device as far as it will go and then release it. This creates small holes in the capsule to release the powder.
3. Do not press the button more than once.
4. After piercing, avoid shaking the inhaler, coughing, or breathing into it, as this can cause you to lose some of the medication.

Step 3: Inhale the Medication

1. Turn away from the inhaler and breathe out completely, emptying your lungs as much as you comfortably can.
2. Place the mouthpiece in your mouth and form a tight seal with your lips, without biting down on the mouthpiece.
3. Keeping your head upright, breathe in slowly and deeply, but strongly enough to hear or feel the capsule vibrating or rattling inside the chamber. This vibration confirms you are inhaling the powder correctly.
4. Continue inhaling until your lungs feel full.
5. Remove the inhaler from your mouth and hold your breath for up to 10 seconds, or for as long as you are comfortable.

Step 4: Repeat and Finish

1. Breathe out gently and calmly, away from the inhaler.
2. To ensure you have received the full dose, repeat the inhalation process from the beginning of Step 3 using the same capsule.
3. Once the capsule is empty, open the mouthpiece and tip the device to discard the used capsule.
4. Close the mouthpiece and the dust cap. Your inhaler is now ready for storage.

Comparison of Braltus Zonda with Other COPD Inhalers

Braltus is a type of long-acting muscarinic antagonist (LAMA). It is often compared to other COPD inhalers which may contain different active ingredients or combinations. Understanding the differences can help clarify your treatment plan.

Feature	Braltus (Tiotropium)	Spiriva HandiHaler (Tiotropium)	Advair Diskus (Fluticasone/Salmeterol)	Anoro Ellipta (Umeclidinium/Vilanterol)
Drug Class	LAMA	LAMA	ICS/LABA Combo	LAMA/LABA Combo
Device	Zonda (DPI)	HandiHaler (DPI)	Diskus (DPI)	Ellipta (DPI)
Capsules	In bottles	In blister packs	No capsules	No capsules
Dosing Frequency	Once daily	Once daily	Twice daily	Once daily
Mechanism	Relaxes airways	Relaxes airways	Anti-inflammatory + relaxes airways	Relaxes airways

Optimizing Your Braltus Inhalation Technique

To get the most from your medication, consider the following best practices:

• Perfect Your Seal: Practice making a tight seal with your lips around the mouthpiece to ensure no medication leaks out.
• Listen for the Rattle: The vibrating noise is your confirmation that the powder is being successfully inhaled into your lungs.
• Hold Your Breath: Holding your breath for several seconds after inhalation allows the fine powder particles to settle deeper into your airways.
• Regular Practice: If you are unsure of your technique, ask your doctor, nurse, or pharmacist to observe you using the device. The NHS recommends getting your technique checked annually.

Maintenance and Storage for Your Braltus Inhaler

Proper care extends the life of your device and prevents contamination:

• Daily Wiping: After each use, wipe the mouthpiece of the Zonda inhaler with a clean, dry tissue or cloth.
• Regular Cleaning: If visible powder builds up, gently tap the inhaler upside down to loosen it. For a more thorough clean, consult your pharmacist or the product leaflet.
• Correct Storage: Keep the capsules in their original bottle until immediately before use. Store the bottle and inhaler at room temperature, away from heat, moisture, and direct light.

Conclusion

Understanding how to take braltus inhaler correctly is a vital part of your COPD management plan. This guide, along with careful adherence to your doctor’s instructions, can help ensure you receive the full benefit of your medication. Braltus is a powerful once-daily treatment for long-term symptom control, but its effectiveness depends entirely on proper technique. If you have any concerns or experience side effects like a dry mouth, be sure to speak with your healthcare provider. For more detailed information, you can consult resources like the NHS, which offers comprehensive guidance on using tiotropium inhalers.

Frequently Asked Questions

How do I know if I have used the Braltus inhaler correctly?

You will know you have inhaled the powder correctly if you hear or feel the capsule rattling as you breathe in deeply. After the second inhalation, the capsule in the chamber should appear empty.

What if I forget to take my daily Braltus dose?

If you forget a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed one. Never take two doses in one day to make up for a missed dose.

Is the Braltus inhaler used as a rescue inhaler?

No, Braltus is a long-acting maintenance medication and should be taken daily to prevent symptoms. It is not intended for use during a sudden breathing attack. You should use a separate rescue inhaler for that purpose.

What happens if I accidentally swallow a Braltus capsule?

If you accidentally swallow a Braltus capsule, don't panic. The medication is poorly absorbed in the stomach and is unlikely to cause serious harm. You may experience minor symptoms like a dry mouth. It is recommended to call a poison center or your doctor for guidance.

How often should I clean my Zonda inhaler device?

It is best to wipe the mouthpiece with a clean, dry cloth or tissue after each use. At least once a week, perform a more thorough clean by following the instructions in the product leaflet or from your pharmacist.

What are the key differences between Braltus and Spiriva?

While both contain the same active ingredient (tiotropium) with an identical delivered dose, Braltus and Spiriva use different inhaler devices. The Braltus Zonda is green and comes with capsules in a bottle, while the Spiriva Handihaler is gray and uses capsules from blister packs.

Can I stop using Braltus if I feel better?

No, Braltus is designed for long-term symptom prevention. It is important to continue using it once daily as prescribed, even if you feel better, to keep your COPD under control.